R Alan Ezekowitz, MBCH DPHL

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

57810 Issued in MA

Practice address

15 Parkman St
Wac 7 Pediatric Medicine
Boston, MA 02114-3117

Phone

(617) 726-2900

Fax

(617) 726-4466

NPI assigned

Dec 20, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1174509335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9142",
            "address_2": "MASS GENERAL PHYSICIAN ORGANIZATION",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021299142",
            "telephone_number": "617-724-0287",
            "fax_number": "617-726-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PARKMAN ST",
            "address_2": "WAC 7 PEDIATRIC MEDICINE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021143117",
            "telephone_number": "617-726-2900",
            "fax_number": "617-726-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZEKOWITZ",
        "first_name": "R",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MBCH DPHL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "57810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "057810",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3030211",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "J07147",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert C Eyre, M.D.
• Caroline Eyvazzadeh, MD
• Maria Teresa Alejandra Eyzaguirre Pellon, MB BCH BAO, MSC
• Ez Eyecare Inc
• Nnenna Ezeh
• Adnan Ezici, MD
• Taiwo Olugbenga Ezra
• Waleed Hazem Ezzat, M.D.
• Judith Anne Fabbri, CPNP
• Katie Fabbrucci, NP

• Pediatrics Physician in Boston, MA
• Providers in Boston, MA by specialty
• Pediatrics Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.